NPI 1386133296

Matthew Jay Bures, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Waukesha, WI

Practice location

Address: 1111 Delafield St STE 222, Waukesha, WI 53188-3490
Phone: (414) 510-2803
Mailing address: 1111 Delafield St STE 222, Waukesha, WI 53188-3403

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 83583-20 (WI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1386133296
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 May 2018
Record last updated: 10 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.